Provider Demographics
NPI:1770225898
Name:WOODS, KEZIA N
Entity Type:Individual
Prefix:MRS
First Name:KEZIA
Middle Name:N
Last Name:WOODS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 SETTING SUN CT
Mailing Address - Street 2:
Mailing Address - City:STEPHENSON
Mailing Address - State:VA
Mailing Address - Zip Code:22656-1869
Mailing Address - Country:US
Mailing Address - Phone:703-953-4433
Mailing Address - Fax:
Practice Address - Street 1:108 SETTING SUN CT
Practice Address - Street 2:
Practice Address - City:STEPHENSON
Practice Address - State:VA
Practice Address - Zip Code:22656-1869
Practice Address - Country:US
Practice Address - Phone:703-953-4433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-09
Last Update Date:2022-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA331OtherNON-EMERGENCY MEDICAL TRANSPORTATION CARRIER